Organization Active NPI

Primary & Urgent Care

  • Family Medicine Physician
  • Colusa, CA
National Provider Identifier
1083304570
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY & URGENT CARE
Practice address
2967 Davison CT Ste D
Colusa, CA 95932-3285
Phone
(530) 454-7040
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neil ShahNPI 1417454075
Title
Physician
Phone
(818) 906-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2967 Davison CT Ste D
Colusa, CA 95932-3285

Mailing address

767 Admiral CT
Oak Park, CA 91377-4755
Phone (818) 906-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240317000108 CA Part B Supplier - Clinic/Group Practice 1951747641 Receives reassigned benefits from 2 practitioners
Practice locations: Colusa, CA

National Provider Directory

National Provider Directory

Locations

5158 Clareton Dr
Unit 1602
Agoura Hills, CA 91376
Phone (818) 906-4224

2967 Davison Ct
Ste D
Colusa, CA 95932
Phone (530) 454-7040

19000 Hawthorne Blvd
Ste 204B
Torrance, CA 90503

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1083304570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 ADMIRAL CT",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913774755",
            "telephone_number": "818-906-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 DAVISON CT STE D",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959323285",
            "telephone_number": "530-454-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-906-4224"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.